| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,300 |
4,300 |
$321K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,977 |
1,977 |
$110K |
| 92015 |
Determination of refractive state |
6,497 |
6,495 |
$85K |
| 92250 |
|
1,629 |
1,629 |
$73K |
| 92285 |
|
201 |
200 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
57 |
56 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
30 |
29 |
$1K |